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Compare the Efficacy of Rosuvastatin to Atorvastatin in High Risk Patients With Hypercholesterolemia

A Randomised, Double-blind Trial to Compare the Efficacy of Rosuvastatin 5 and 10 mg to Atorvastatin 10 mg in the Treatment of High Risk Patients With Hypercholesterolemia Followed by an Open Label Treatment Period With Rosuvastatin Up-titrated to the Maximum Dose of 20 mg for Those Patients Who do Not Achieve Goal

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00683618
Enrollment
934
Registered
2008-05-23
Start date
2008-05-31
Completion date
2009-07-31
Last updated
2012-03-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hypercholesterolemia

Keywords

HMG-CoA, LDL-C, CHD

Brief summary

This trial is to compare the efficacy, safety and tolerability of Rosuvastatin with Atorvastatin by assessing the change of LDL-C in patients with hypercholesterolemia and history of coronary heart disease (CHD) or risk equivalent, or a 10 year CHD risk of no less than 10%, following 6-week treatment and a possible 6 week extension treatment.

Interventions

DRUGRosuvastatin

Capsule/Tablet, oral, qd, 6 or 12 weeks

DRUGAtorvastatin

Capsule/Tablet, 10mg, oral, qd, 6 weeks

Sponsors

AstraZeneca
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Treated for or diagnosed hypercholesterolemia or have had a high risk with hypercholesterolemia * LDL-C between 3.36mmol/L and 6.5 mmol/L if not treated with statin or between 2.6mmol/L and 4.14 mmol/L * Fasting triglyceride less than 4.52mmol/L

Exclusion criteria

* History of statin induced myopathy * Unstable or uncontrolled cardiovascular diseases * Familial dysbetalipoproteinemia

Design outcomes

Primary

MeasureTime frameDescription
Percentage Change From Baseline in Low Density Lipoprotein Cholesterol (LDL-C) Concentration After 6 Weeks of Treatment Comparing Rosuvastatin 5mg With Atorvastatin 10mgbaseline, 6 weeksAnalyzed with analysis of covariance (ANCOVA) model with factors fitted for treatment, centre, risk factor, lipid concentration at baseline, treatment by centre and treatment by risk factor with a two-sided significance level of 0.025 on ITT population.
Percentage Change From Baseline in Low Density Lipoprotein Cholesterol (LDL-C) Concentration After 6 Weeks of Treatment Comparing Rosuvastatin 10mg With Atorvastatin 10mgbaseline, 6 weeksAnalyzed with analysis of covariance (ANCOVA) model with factors fitted for treatment, centre, risk factor, lipid concentration at baseline, treatment by centre and treatment by risk factor with a significance level of 0.025 on ITT population.

Secondary

MeasureTime frameDescription
Percentage Change From Baseline in Triglycerides (TG) at Week 6baseline, 6 weeksAnalyzed with analysis of covariance (ANCOVA) model with factors fitted for treatment, centre, risk factor, lipid concentration at baseline, treatment by centre and treatment by risk factor with a significance level of 0.05 on ITT population.
Percentage Change From Baseline in Non High Density Lipoprotein-Cholesterol (nonHDL-C) at Week 6baseline, 6 weeksAnalyzed with analysis of covariance (ANCOVA) model with factors fitted for treatment, centre, risk factor, lipid concentration at baseline, treatment by centre and treatment by risk factor with a significance level of 0.05 on ITT population.
Percentage Change From Baseline in Apolipoprotein B (ApoB) at Week 6baseline, 6 weeksAnalyzed with analysis of covariance (ANCOVA) model with factors fitted for treatment, centre, risk factor, lipid concentration at baseline, treatment by centre and treatment by risk factor with a significance level of 0.05 on ITT population.
Percentage Change From Baseline in Apolipoprotein A-I (ApoA-I) at Week 6baseline, 6 weeksAnalyzed with analysis of covariance (ANCOVA) model with factors fitted for treatment, centre, risk factor, lipid concentration at baseline, treatment by centre and treatment by risk factor with a significance level of 0.05 on ITT population.
Percentage Change From Baseline in Total Cholesterol/High Density Lipoprotein-Cholesterol (TC/HDL-C) at Week 6baseline, 6 weeksAnalyzed with analysis of covariance (ANCOVA) model with factors fitted for treatment, centre, risk factor, lipid concentration at baseline, treatment by centre and treatment by risk factor with a significance level of 0.05 on ITT population.
Percentage Change From Baseline in High Density Lipoprotein-Cholesterol (HDL-C) at Week 6baseline, 6 weeksAnalyzed with analysis of covariance (ANCOVA) model with factors fitted for treatment, centre, risk factor, lipid concentration at baseline, treatment by centre and treatment by risk factor with a significance level of 0.05 on ITT population.
Percentage Change From Baseline in Non High Density Lipoprotein Cholesterol/High Density Lipoprotein Cholesterol (nonHDL-C/HDL-C) at Week 6baseline, 6 weeksAnalyzed with analysis of covariance (ANCOVA) model with factors fitted for treatment, centre, risk factor, lipid concentration at baseline, treatment by centre and treatment by risk factor with a significance level of 0.05 on ITT population.
Percentage Change From Baseline in Apolipoprotein B/Apolipoprotein A I (ApoB/ApoA-I) at Week 6baseline, 6 weeksAnalyzed with analysis of covariance (ANCOVA) model with factors fitted for treatment, centre, risk factor, lipid concentration at baseline, treatment by centre and treatment by risk factor with a significance level of 0.05 on ITT population.
Percentage of Patients Achieved ATP III Guideline (2001) Low Density Lipoprotein Cholesterol (LDL-C) Goal at Week 6week 6The percentage of patients achieved LDL-C goal is done in ITT population. National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) guideline (2001) LDL-C goal: Moderately high risk: 2+ risk factors (10-year risk 10%-20%): LDL-C goal \< 3.36mmol/L(130mg/dL), non-HDL-C goal \< 4.14mmol/L (160mg/dL) ; High risk: Coronary Heart Disease (CHD) or CHD risk equivalents (10-year risk \>20%): LDL-C goal\< 2.60mmol/L (100mg/dL), non-HDL-C goal \< 3.36mmol/L (130mg/dL)
6 weeksPercentage of Patients Achieved ATP III Guideline (2001) Non High Density Lipoprotein-Cholesterol (nonHDL-C) Goal at Week 6week 6The percentage of patients achieved LDL-C goal is done in ITT population. National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) guideline (2001) LDL-C goal: Moderately high risk: 2+ risk factors (10-year risk 10%-20%): LDL-C goal \< 3.36mmol/L(130mg/dL); non-HDL-C goal \< 4.14mmol/L (160mg/dL) ; High risk: Coronary Heart Disease (CHD) or CHD risk equivalents (10-year risk \>20%): LDL-C goal\< 2.60mmol/L (100mg/dL),non-HDL-C goal \< 3.36mmol/L (130mg/dL)
Percentage of Patients Achieved National Cholesterol Education Program Adult Treatment Panel (NCEP ATP) III Guideline (2001) Low Density Lipoprotein-Cholesterol (LDL-C) Goal After Titrationfrom week 6 to week 12The percentage of patients achieved LDL-C goal is done in ITT population. National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) guideline (2001) LDL-C goal: Moderately high risk: 2+ risk factors (10-year risk 10%-20%): LDL-C goal \< 3.36mmol/L(130mg/dL), non-HDL-C goal \< 4.14mmol/L (160mg/dL) ; High risk: Coronary Heart Disease (CHD) or CHD risk equivalents (10-year risk \>20%): LDL-C goal\< 2.60mmol/L (100mg/dL), non-HDL-C goal \< 3.36mmol/L (130mg/dL)
Percentage Change From Baseline in Low Density Lipoprotein Cholesterol/High Density Lipoprotein Cholesterol (LDL-C/HDL-C) at Week 6baseline, 6 weeksAnalyzed with analysis of covariance (ANCOVA) model with factors fitted for treatment, centre, risk factor, lipid concentration at baseline, treatment by centre and treatment by risk factor with a significance level of 0.05 on ITT population.
Percentage Change From Baseline in Total Cholesterol (TC ) at Week 6baseline, 6 weeksAnalyzed with analysis of covariance (ANCOVA) model with factors fitted for treatment, centre, risk factor, lipid concentration at baseline, treatment by centre and treatment by risk factor with a significance level of 0.05 on ITT population.

Countries

China

Participant flow

Recruitment details

In total 934 patients were enrolled to the study, the study was conducted at 13 investigational sites in China. The first patient was enrolled on 27 May 2008, the last patient was completed on 16 Jul 2009.

Pre-assignment details

There is a dietary lead in period before randomization. 934 patients started the dietary lead in period. 436 patients completed this period. The baseline measurement is based on the ITT population. Patients included in ITT population in each arm is : Rosuvastatin 5mg 136, Rosuvastatin 10mg 139 and Atorvastatin 10mg 139.

Participants by arm

ArmCount
Rosuvastatin 5mg
Taken orally once daily
136
Rosuvastatin 10mg
Taken orally once daily
139
Atorvastatin 10mg
Taken orally once daily
139
Total414

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Extension Treatment PeriodAdverse Event100
Extension Treatment PeriodProtocol Violation100
Extension Treatment PeriodWithdrawal by Subject100
Randomised Treatment PeriodAdverse Event202
Randomised Treatment PeriodProtocol Violation010
Randomised Treatment PeriodReason not provided002
Randomised Treatment PeriodWithdrawal by Subject412

Baseline characteristics

CharacteristicRosuvastatin 5mgRosuvastatin 10mgAtorvastatin 10mgTotal
Age Continuous60.4 Years
STANDARD_DEVIATION 8.51
59.7 Years
STANDARD_DEVIATION 10.57
58.4 Years
STANDARD_DEVIATION 9.29
59.5 Years
STANDARD_DEVIATION 9.51
Low density lipoprotein cholesterol (LDL-C level)4.242 mmol/L
STANDARD_DEVIATION 0.6769
4.131 mmol/L
STANDARD_DEVIATION 0.6818
4.213 mmol/L
STANDARD_DEVIATION 0.6617
4.186 mmol/L
STANDARD_DEVIATION 0.6717
Race/Ethnicity, Customized
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Asian
136 Participants139 Participants139 Participants414 Participants
Race/Ethnicity, Customized
Black or African American
0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
More than one race
0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Nativ Hawaiian or other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race/Ethnicity, Customized
White
0 Participants0 Participants0 Participants0 Participants
Sex: Female, Male
Female
84 Participants85 Participants77 Participants246 Participants
Sex: Female, Male
Male
52 Participants54 Participants62 Participants168 Participants
triglyceride (TG) level1.921 mmol/L
STANDARD_DEVIATION 0.7825
2.042 mmol/L
STANDARD_DEVIATION 0.9164
2.061 mmol/L
STANDARD_DEVIATION 0.8971
1.991 mmol/L
STANDARD_DEVIATION 0.8494

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
5 / 1453 / 1450 / 146
serious
Total, serious adverse events
1 / 1450 / 1451 / 146

Outcome results

Primary

Percentage Change From Baseline in Low Density Lipoprotein Cholesterol (LDL-C) Concentration After 6 Weeks of Treatment Comparing Rosuvastatin 10mg With Atorvastatin 10mg

Analyzed with analysis of covariance (ANCOVA) model with factors fitted for treatment, centre, risk factor, lipid concentration at baseline, treatment by centre and treatment by risk factor with a significance level of 0.025 on ITT population.

Time frame: baseline, 6 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Rosuvastatin 5mgPercentage Change From Baseline in Low Density Lipoprotein Cholesterol (LDL-C) Concentration After 6 Weeks of Treatment Comparing Rosuvastatin 10mg With Atorvastatin 10mg-46.28 Percent changeStandard Error 2.62
Atorvastatin 10mgPercentage Change From Baseline in Low Density Lipoprotein Cholesterol (LDL-C) Concentration After 6 Weeks of Treatment Comparing Rosuvastatin 10mg With Atorvastatin 10mg-38.67 Percent changeStandard Error 2.64
Primary

Percentage Change From Baseline in Low Density Lipoprotein Cholesterol (LDL-C) Concentration After 6 Weeks of Treatment Comparing Rosuvastatin 5mg With Atorvastatin 10mg

Analyzed with analysis of covariance (ANCOVA) model with factors fitted for treatment, centre, risk factor, lipid concentration at baseline, treatment by centre and treatment by risk factor with a two-sided significance level of 0.025 on ITT population.

Time frame: baseline, 6 weeks

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Rosuvastatin 5mgPercentage Change From Baseline in Low Density Lipoprotein Cholesterol (LDL-C) Concentration After 6 Weeks of Treatment Comparing Rosuvastatin 5mg With Atorvastatin 10mg-41.70 percent changeStandard Error 2.62
Atorvastatin 10mgPercentage Change From Baseline in Low Density Lipoprotein Cholesterol (LDL-C) Concentration After 6 Weeks of Treatment Comparing Rosuvastatin 5mg With Atorvastatin 10mg-38.67 percent changeStandard Error 2.64
Secondary

6 weeksPercentage of Patients Achieved ATP III Guideline (2001) Non High Density Lipoprotein-Cholesterol (nonHDL-C) Goal at Week 6

The percentage of patients achieved LDL-C goal is done in ITT population. National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) guideline (2001) LDL-C goal: Moderately high risk: 2+ risk factors (10-year risk 10%-20%): LDL-C goal \< 3.36mmol/L(130mg/dL); non-HDL-C goal \< 4.14mmol/L (160mg/dL) ; High risk: Coronary Heart Disease (CHD) or CHD risk equivalents (10-year risk \>20%): LDL-C goal\< 2.60mmol/L (100mg/dL),non-HDL-C goal \< 3.36mmol/L (130mg/dL)

Time frame: week 6

Population: Patients who have baseline HDL-C and at least one post baseline HDL-C. Not all patients in ITT meet the conditions since ITT is for all lipid variables instead of individual variable.

ArmMeasureValue (NUMBER)
Rosuvastatin 5mg6 weeksPercentage of Patients Achieved ATP III Guideline (2001) Non High Density Lipoprotein-Cholesterol (nonHDL-C) Goal at Week 666.9 percentage of patients
Atorvastatin 10mg6 weeksPercentage of Patients Achieved ATP III Guideline (2001) Non High Density Lipoprotein-Cholesterol (nonHDL-C) Goal at Week 678.4 percentage of patients
Atorvastatin 10mg6 weeksPercentage of Patients Achieved ATP III Guideline (2001) Non High Density Lipoprotein-Cholesterol (nonHDL-C) Goal at Week 660.4 percentage of patients
Secondary

Percentage Change From Baseline in Apolipoprotein A-I (ApoA-I) at Week 6

Analyzed with analysis of covariance (ANCOVA) model with factors fitted for treatment, centre, risk factor, lipid concentration at baseline, treatment by centre and treatment by risk factor with a significance level of 0.05 on ITT population.

Time frame: baseline, 6 weeks

Population: Patients who have baseline HDL-C and at least one post baseline HDL-C. Not all patients in ITT meet the conditions since ITT is for all lipid variables instead of individual variable.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Rosuvastatin 5mgPercentage Change From Baseline in Apolipoprotein A-I (ApoA-I) at Week 63.67 percent changeStandard Error 1.99
Atorvastatin 10mgPercentage Change From Baseline in Apolipoprotein A-I (ApoA-I) at Week 64.25 percent changeStandard Error 1.98
Atorvastatin 10mgPercentage Change From Baseline in Apolipoprotein A-I (ApoA-I) at Week 61.79 percent changeStandard Error 2
Secondary

Percentage Change From Baseline in Apolipoprotein B (ApoB) at Week 6

Analyzed with analysis of covariance (ANCOVA) model with factors fitted for treatment, centre, risk factor, lipid concentration at baseline, treatment by centre and treatment by risk factor with a significance level of 0.05 on ITT population.

Time frame: baseline, 6 weeks

Population: Patients who have baseline HDL-C and at least one post baseline HDL-C. Not all patients in ITT meet the conditions since ITT is for all lipid variables instead of individual variable.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Rosuvastatin 5mgPercentage Change From Baseline in Apolipoprotein B (ApoB) at Week 6-36.55 percent changeStandard Error 2.4
Atorvastatin 10mgPercentage Change From Baseline in Apolipoprotein B (ApoB) at Week 6-41.21 percent changeStandard Error 2.4
Atorvastatin 10mgPercentage Change From Baseline in Apolipoprotein B (ApoB) at Week 6-34.67 percent changeStandard Error 2.41
Secondary

Percentage Change From Baseline in Apolipoprotein B/Apolipoprotein A I (ApoB/ApoA-I) at Week 6

Analyzed with analysis of covariance (ANCOVA) model with factors fitted for treatment, centre, risk factor, lipid concentration at baseline, treatment by centre and treatment by risk factor with a significance level of 0.05 on ITT population.

Time frame: baseline, 6 weeks

Population: Patients who have baseline HDL-C and at least one post baseline HDL-C. Not all patients in ITT meet the conditions since ITT is for all lipid variables instead of individual variable.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Rosuvastatin 5mgPercentage Change From Baseline in Apolipoprotein B/Apolipoprotein A I (ApoB/ApoA-I) at Week 6-37.62 percent changeStandard Error 3.15
Atorvastatin 10mgPercentage Change From Baseline in Apolipoprotein B/Apolipoprotein A I (ApoB/ApoA-I) at Week 6-41.87 percent changeStandard Error 3.14
Atorvastatin 10mgPercentage Change From Baseline in Apolipoprotein B/Apolipoprotein A I (ApoB/ApoA-I) at Week 6-35.15 percent changeStandard Error 3.16
Secondary

Percentage Change From Baseline in High Density Lipoprotein-Cholesterol (HDL-C) at Week 6

Analyzed with analysis of covariance (ANCOVA) model with factors fitted for treatment, centre, risk factor, lipid concentration at baseline, treatment by centre and treatment by risk factor with a significance level of 0.05 on ITT population.

Time frame: baseline, 6 weeks

Population: Patients who have baseline HDL-C and at least one post baseline HDL-C. Not all patients in ITT meet the conditions since ITT is for all lipid variables instead of individual variable.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Rosuvastatin 5mgPercentage Change From Baseline in High Density Lipoprotein-Cholesterol (HDL-C) at Week 65.63 percent changeStandard Error 2.29
Atorvastatin 10mgPercentage Change From Baseline in High Density Lipoprotein-Cholesterol (HDL-C) at Week 66.82 percent changeStandard Error 2.29
Atorvastatin 10mgPercentage Change From Baseline in High Density Lipoprotein-Cholesterol (HDL-C) at Week 63.64 percent changeStandard Error 2.31
Secondary

Percentage Change From Baseline in Low Density Lipoprotein Cholesterol/High Density Lipoprotein Cholesterol (LDL-C/HDL-C) at Week 6

Analyzed with analysis of covariance (ANCOVA) model with factors fitted for treatment, centre, risk factor, lipid concentration at baseline, treatment by centre and treatment by risk factor with a significance level of 0.05 on ITT population.

Time frame: baseline, 6 weeks

Population: Patients who have baseline HDL-C and at least one post baseline HDL-C. Not all patients in ITT meet the conditions since ITT is for all lipid variables instead of individual variable.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Rosuvastatin 5mgPercentage Change From Baseline in Low Density Lipoprotein Cholesterol/High Density Lipoprotein Cholesterol (LDL-C/HDL-C) at Week 6-44.07 percent changeStandard Error 3.17
Atorvastatin 10mgPercentage Change From Baseline in Low Density Lipoprotein Cholesterol/High Density Lipoprotein Cholesterol (LDL-C/HDL-C) at Week 6-50.27 percent changeStandard Error 3.16
Atorvastatin 10mgPercentage Change From Baseline in Low Density Lipoprotein Cholesterol/High Density Lipoprotein Cholesterol (LDL-C/HDL-C) at Week 6-41.04 percent changeStandard Error 3.19
Secondary

Percentage Change From Baseline in Non High Density Lipoprotein Cholesterol/High Density Lipoprotein Cholesterol (nonHDL-C/HDL-C) at Week 6

Analyzed with analysis of covariance (ANCOVA) model with factors fitted for treatment, centre, risk factor, lipid concentration at baseline, treatment by centre and treatment by risk factor with a significance level of 0.05 on ITT population.

Time frame: baseline, 6 weeks

Population: Patients who have baseline HDL-C and at least one post baseline HDL-C. Not all patients in ITT meet the conditions since ITT is for all lipid variables instead of individual variable.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Rosuvastatin 5mgPercentage Change From Baseline in Non High Density Lipoprotein Cholesterol/High Density Lipoprotein Cholesterol (nonHDL-C/HDL-C) at Week 6-41.79 percent changeStandard Error 11.54
Atorvastatin 10mgPercentage Change From Baseline in Non High Density Lipoprotein Cholesterol/High Density Lipoprotein Cholesterol (nonHDL-C/HDL-C) at Week 6-56.63 percent changeStandard Error 11.52
Atorvastatin 10mgPercentage Change From Baseline in Non High Density Lipoprotein Cholesterol/High Density Lipoprotein Cholesterol (nonHDL-C/HDL-C) at Week 6-48.33 percent changeStandard Error 11.64
Secondary

Percentage Change From Baseline in Non High Density Lipoprotein-Cholesterol (nonHDL-C) at Week 6

Analyzed with analysis of covariance (ANCOVA) model with factors fitted for treatment, centre, risk factor, lipid concentration at baseline, treatment by centre and treatment by risk factor with a significance level of 0.05 on ITT population.

Time frame: baseline, 6 weeks

Population: Patients who have baseline HDL-C and at least one post baseline HDL-C. Not all patients in ITT meet the conditions since ITT is for all lipid variables instead of individual variable.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Rosuvastatin 5mgPercentage Change From Baseline in Non High Density Lipoprotein-Cholesterol (nonHDL-C) at Week 6-38.60 percent changeStandard Error 3.57
Atorvastatin 10mgPercentage Change From Baseline in Non High Density Lipoprotein-Cholesterol (nonHDL-C) at Week 6-46.08 percent changeStandard Error 3.57
Atorvastatin 10mgPercentage Change From Baseline in Non High Density Lipoprotein-Cholesterol (nonHDL-C) at Week 6-38.50 percent changeStandard Error 3.6
Secondary

Percentage Change From Baseline in Total Cholesterol/High Density Lipoprotein-Cholesterol (TC/HDL-C) at Week 6

Analyzed with analysis of covariance (ANCOVA) model with factors fitted for treatment, centre, risk factor, lipid concentration at baseline, treatment by centre and treatment by risk factor with a significance level of 0.05 on ITT population.

Time frame: baseline, 6 weeks

Population: Patients who have baseline HDL-C and at least one post baseline HDL-C. Not all patients in ITT meet the conditions since ITT is for all lipid variables instead of individual variable.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Rosuvastatin 5mgPercentage Change From Baseline in Total Cholesterol/High Density Lipoprotein-Cholesterol (TC/HDL-C) at Week 6-32.95 percent changeStandard Error 2.96
Atorvastatin 10mgPercentage Change From Baseline in Total Cholesterol/High Density Lipoprotein-Cholesterol (TC/HDL-C) at Week 6-38.04 percent changeStandard Error 2.96
Atorvastatin 10mgPercentage Change From Baseline in Total Cholesterol/High Density Lipoprotein-Cholesterol (TC/HDL-C) at Week 6-31.92 percent changeStandard Error 2.99
Secondary

Percentage Change From Baseline in Total Cholesterol (TC ) at Week 6

Analyzed with analysis of covariance (ANCOVA) model with factors fitted for treatment, centre, risk factor, lipid concentration at baseline, treatment by centre and treatment by risk factor with a significance level of 0.05 on ITT population.

Time frame: baseline, 6 weeks

Population: Patients who have baseline HDL-C and at least one post baseline HDL-C. Not all patients in ITT meet the conditions since ITT is for all lipid variables instead of individual variable.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Rosuvastatin 5mgPercentage Change From Baseline in Total Cholesterol (TC ) at Week 6-29.62 percent changeStandard Error 1.92
Atorvastatin 10mgPercentage Change From Baseline in Total Cholesterol (TC ) at Week 6-33.14 percent changeStandard Error 1.91
Atorvastatin 10mgPercentage Change From Baseline in Total Cholesterol (TC ) at Week 6-28.06 percent changeStandard Error 1.93
Secondary

Percentage Change From Baseline in Triglycerides (TG) at Week 6

Analyzed with analysis of covariance (ANCOVA) model with factors fitted for treatment, centre, risk factor, lipid concentration at baseline, treatment by centre and treatment by risk factor with a significance level of 0.05 on ITT population.

Time frame: baseline, 6 weeks

Population: Patients who have baseline HDL-C and at least one post baseline HDL-C. Not all patients in ITT meet the conditions since ITT is for all lipid variables instead of individual variable.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Rosuvastatin 5mgPercentage Change From Baseline in Triglycerides (TG) at Week 6-20.09 Percent changeStandard Error 4.72
Atorvastatin 10mgPercentage Change From Baseline in Triglycerides (TG) at Week 6-22.05 Percent changeStandard Error 4.69
Atorvastatin 10mgPercentage Change From Baseline in Triglycerides (TG) at Week 6-20.67 Percent changeStandard Error 4.73
Secondary

Percentage of Patients Achieved ATP III Guideline (2001) Low Density Lipoprotein Cholesterol (LDL-C) Goal at Week 6

The percentage of patients achieved LDL-C goal is done in ITT population. National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) guideline (2001) LDL-C goal: Moderately high risk: 2+ risk factors (10-year risk 10%-20%): LDL-C goal \< 3.36mmol/L(130mg/dL), non-HDL-C goal \< 4.14mmol/L (160mg/dL) ; High risk: Coronary Heart Disease (CHD) or CHD risk equivalents (10-year risk \>20%): LDL-C goal\< 2.60mmol/L (100mg/dL), non-HDL-C goal \< 3.36mmol/L (130mg/dL)

Time frame: week 6

Population: Patients who have baseline HDL-C and at least one post baseline HDL-C. Not all patients in ITT meet the conditions since ITT is for all lipid variables instead of individual variable.

ArmMeasureValue (NUMBER)
Rosuvastatin 5mgPercentage of Patients Achieved ATP III Guideline (2001) Low Density Lipoprotein Cholesterol (LDL-C) Goal at Week 661.0 percentage of patients
Atorvastatin 10mgPercentage of Patients Achieved ATP III Guideline (2001) Low Density Lipoprotein Cholesterol (LDL-C) Goal at Week 679.1 percentage of patients
Atorvastatin 10mgPercentage of Patients Achieved ATP III Guideline (2001) Low Density Lipoprotein Cholesterol (LDL-C) Goal at Week 658.3 percentage of patients
Secondary

Percentage of Patients Achieved National Cholesterol Education Program Adult Treatment Panel (NCEP ATP) III Guideline (2001) Low Density Lipoprotein-Cholesterol (LDL-C) Goal After Titration

The percentage of patients achieved LDL-C goal is done in ITT population. National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) guideline (2001) LDL-C goal: Moderately high risk: 2+ risk factors (10-year risk 10%-20%): LDL-C goal \< 3.36mmol/L(130mg/dL), non-HDL-C goal \< 4.14mmol/L (160mg/dL) ; High risk: Coronary Heart Disease (CHD) or CHD risk equivalents (10-year risk \>20%): LDL-C goal\< 2.60mmol/L (100mg/dL), non-HDL-C goal \< 3.36mmol/L (130mg/dL)

Time frame: from week 6 to week 12

Population: Patients did not achieve NCEP ATP III LDL-C goal at the end of 6 weeks randomised treatment period, they entered into extension treatment period upon investigator's discretion.

ArmMeasureValue (NUMBER)
Rosuvastatin 5mgPercentage of Patients Achieved National Cholesterol Education Program Adult Treatment Panel (NCEP ATP) III Guideline (2001) Low Density Lipoprotein-Cholesterol (LDL-C) Goal After Titration41.2 percentage of patients
Atorvastatin 10mgPercentage of Patients Achieved National Cholesterol Education Program Adult Treatment Panel (NCEP ATP) III Guideline (2001) Low Density Lipoprotein-Cholesterol (LDL-C) Goal After Titration47.6 percentage of patients

Source: ClinicalTrials.gov · Data processed: Feb 26, 2026